Pub Date : 2022-05-31DOI: 10.3912/ojin.vol27no02man01
Kimberly A. Cleveland, Tracey Motter, P. Rudsill, Laurie Benson
The Patient Protection and Affordable Care Act (ACA) (Patient Protection Affordable Care Act, 2010) remains law in the United States despite challenges and politically charged debate about its purpose in healthcare. Most agree the top three problematic areas in US healthcare are high cost, access, and equity (Kimberlin, 2022; National Academies of Sciences, Engineering and Medicine [NASEM], 2021; Ritz, 2016; Kaiser Family Foundation [KFF], 2013). The ACA aims to address these issues in complex and varied ways. Nurses can capitalize on the purpose of the ACA to leverage their power to improve quality, create efficient delivery systems, and pioneer innovations in healthcare while advocating for equity for patients (Cleveland et al., 2019). The purpose of this article is to discuss how nurses are powerfully addressing issues of cost, quality, and equitable care, pioneering the future of patient centered care, and preparing the workforce to meet the challenges brought about by the financial, political, and structural challenges 12 years after the ACA.
《患者保护和平价医疗法案》(Patient Protection and Affordable Care Act, 2010)在美国仍然是法律，尽管它在医疗保健领域的目的面临挑战和政治上充满争议。大多数人认为，美国医疗保健的三大问题领域是高成本、可及性和公平性(Kimberlin, 2022;美国国家科学院、工程院和医学院[NASEM]， 2021;丽兹,2016;凯泽家庭基金会[KFF]， 2013)。ACA旨在以复杂多样的方式解决这些问题。护士可以利用ACA的目的来利用他们的权力来提高质量，创建高效的交付系统，并在倡导患者公平的同时开拓医疗保健创新(Cleveland等人，2019)。本文的目的是讨论护士如何强有力地解决成本、质量和公平护理的问题，开创以患者为中心的护理的未来，并准备好劳动力迎接ACA实施12年后经济、政治和结构挑战带来的挑战。
{"title":"The Affordable Care Act: Considerations for Leveraging the Power of Nursing","authors":"Kimberly A. Cleveland, Tracey Motter, P. Rudsill, Laurie Benson","doi":"10.3912/ojin.vol27no02man01","DOIUrl":"https://doi.org/10.3912/ojin.vol27no02man01","url":null,"abstract":"The Patient Protection and Affordable Care Act (ACA) (Patient Protection Affordable Care Act, 2010) remains law in the United States despite challenges and politically charged debate about its purpose in healthcare. Most agree the top three problematic areas in US healthcare are high cost, access, and equity (Kimberlin, 2022; National Academies of Sciences, Engineering and Medicine [NASEM], 2021; Ritz, 2016; Kaiser Family Foundation [KFF], 2013). The ACA aims to address these issues in complex and varied ways. Nurses can capitalize on the purpose of the ACA to leverage their power to improve quality, create efficient delivery systems, and pioneer innovations in healthcare while advocating for equity for patients (Cleveland et al., 2019). The purpose of this article is to discuss how nurses are powerfully addressing issues of cost, quality, and equitable care, pioneering the future of patient centered care, and preparing the workforce to meet the challenges brought about by the financial, political, and structural challenges 12 years after the ACA.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116862559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-28DOI: 10.3912/ojin.vol27no02ppt45
Hiroko Kiyoshi-Teo, K. Northrup-Snyder
Hospital nurses often experience challenges when teaching older adults about fall prevention strategies. The goal of this project was to provide evidence-based training to hospital nurses to facilitate patient engagement with fall prevention measures. Methods: An “Adapted” Motivational Interviewing (MI) for fall prevention (AMIFP) training in acute care was developed and introduced to nurses as part of a Veterans Affairs-Nursing Academic Partnership (VANAP) initiative. Pre/post surveys were completed by 61 nurses (71% response rate) at an acute care hospital in the United States. Results: After the single AMIFP training, nurses reported having increased knowledge about patient engagement related to fall prevention. Moreover, feelings of confidence related to using some MI skills for fall prevention increased after training. Conclusion: Even a brief AMIFP training for nurses can have a positive impact on improving hospital nurses’ knowledge and attitudes to engage patients in fall prevention education.
{"title":"“Adapted” Motivational Interviewing to Engage Hospital Nurses in Fall Prevention Education","authors":"Hiroko Kiyoshi-Teo, K. Northrup-Snyder","doi":"10.3912/ojin.vol27no02ppt45","DOIUrl":"https://doi.org/10.3912/ojin.vol27no02ppt45","url":null,"abstract":"Hospital nurses often experience challenges when teaching older adults about fall prevention strategies. The goal of this project was to provide evidence-based training to hospital nurses to facilitate patient engagement with fall prevention measures. Methods: An “Adapted” Motivational Interviewing (MI) for fall prevention (AMIFP) training in acute care was developed and introduced to nurses as part of a Veterans Affairs-Nursing Academic Partnership (VANAP) initiative. Pre/post surveys were completed by 61 nurses (71% response rate) at an acute care hospital in the United States. Results: After the single AMIFP training, nurses reported having increased knowledge about patient engagement related to fall prevention. Moreover, feelings of confidence related to using some MI skills for fall prevention increased after training. Conclusion: Even a brief AMIFP training for nurses can have a positive impact on improving hospital nurses’ knowledge and attitudes to engage patients in fall prevention education.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"114 21","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113935201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-14DOI: 10.3912/OJIN.Vol27No02PPT75
L. Kidd
In March 2020, COVID-19 cases were beginning to emerge in North Florida and concern over hospital bed capacity started to rise. Baptist Health System in Jacksonville, Florida quickly formed a multidisciplinary team to explore how we could increase hospital bed capacity. Utilizing the resources within our affiliated home healthcare agency, an Enhanced Home Support Model (EHSM) with a COVID-19 protocol was developed. The protocol was implemented by home health nurses and included COVID-19 testing, blood tests, and the ability to start oxygen at home on admission. Patients were provided self-monitoring equipment and information about self-isolating and infection control within the home. After the initial visit, the home health nurse and the primary care physician shared collaborative oversight through virtual visits. This article discusses how we initially approached identification of severity and the methods we used to implement the protocol. The results section offers information about the number of patients utilizing this protocol between April and December 2020; patient and physician satisfaction; and considers strengths and weaknesses of the program. In conclusion, the EHSM protocol allowed patients to receive high quality emergent care at home and increased access to hospital emergency departments and inpatient hospital beds for more seriously ill patients.
{"title":"Collaboration Among Providers to Treat COVID-19 Patients at Home Opens Beds for Those with More Serious Illness","authors":"L. Kidd","doi":"10.3912/OJIN.Vol27No02PPT75","DOIUrl":"https://doi.org/10.3912/OJIN.Vol27No02PPT75","url":null,"abstract":"In March 2020, COVID-19 cases were beginning to emerge in North Florida and concern over hospital bed capacity started to rise. Baptist Health System in Jacksonville, Florida quickly formed a multidisciplinary team to explore how we could increase hospital bed capacity. Utilizing the resources within our affiliated home healthcare agency, an Enhanced Home Support Model (EHSM) with a COVID-19 protocol was developed. The protocol was implemented by home health nurses and included COVID-19 testing, blood tests, and the ability to start oxygen at home on admission. Patients were provided self-monitoring equipment and information about self-isolating and infection control within the home. After the initial visit, the home health nurse and the primary care physician shared collaborative oversight through virtual visits. This article discusses how we initially approached identification of severity and the methods we used to implement the protocol. The results section offers information about the number of patients utilizing this protocol between April and December 2020; patient and physician satisfaction; and considers strengths and weaknesses of the program. In conclusion, the EHSM protocol allowed patients to receive high quality emergent care at home and increased access to hospital emergency departments and inpatient hospital beds for more seriously ill patients.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131117055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-21DOI: 10.3912/OJIN.Vol27No02InfoCol01
R. Nelson
In the article, the author discusses issues in healthcare, particularly the proliferation of infodemic or bad information/misinformation and the need to address it. Topics include the claim by the World Health Organization (WHO) that infodemic causes confusion and risk-taking behaviours that could be harmful to health and the proliferation of infodemic during the COVID-19 health crisis.
{"title":"Mitigating an Infodemic: Can The Professions Still Regulate Themselves?","authors":"R. Nelson","doi":"10.3912/OJIN.Vol27No02InfoCol01","DOIUrl":"https://doi.org/10.3912/OJIN.Vol27No02InfoCol01","url":null,"abstract":"In the article, the author discusses issues in healthcare, particularly the proliferation of infodemic or bad information/misinformation and the need to address it. Topics include the claim by the World Health Organization (WHO) that infodemic causes confusion and risk-taking behaviours that could be harmful to health and the proliferation of infodemic during the COVID-19 health crisis.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"135 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131551527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-17DOI: 10.3912/OJIN.Vol27No02PPT752
C. Rittle, Lora Walter
When the mRNA COVID-19 vaccines were announced in December 2020 the world was excited that a vaccine was available to combat the coronavirus pandemic. One of the most frequent comments was a desire to wait because the vaccine technology was “so new.” This article will concentrate on the mRNA vaccines not familiar to the public and is intended to explain the developmental timeline before and after the genome of COVID-19 was announced. We discuss Operation Warp Speed and SARS-CoV-2 and specifically the development of Messenger RNA (mRNA) vaccines and concurrent other types of vaccines. Other topics of discussion include COVID-19 variants; effectiveness of mRNA vaccines; and late news about the Pfizer-BioNTech® COVID-19 vaccine. The article conclusion discusses implications for nurses as they continue to follow future developments, become competent in communicating viral epidemiology, and educate patients and families about vaccine options.
{"title":"Covid-19 Vaccines and mRNA Technology: Not as New as Many Believe","authors":"C. Rittle, Lora Walter","doi":"10.3912/OJIN.Vol27No02PPT752","DOIUrl":"https://doi.org/10.3912/OJIN.Vol27No02PPT752","url":null,"abstract":"When the mRNA COVID-19 vaccines were announced in December 2020 the world was excited that a vaccine was available to combat the coronavirus pandemic. One of the most frequent comments was a desire to wait because the vaccine technology was “so new.” This article will concentrate on the mRNA vaccines not familiar to the public and is intended to explain the developmental timeline before and after the genome of COVID-19 was announced. We discuss Operation Warp Speed and SARS-CoV-2 and specifically the development of Messenger RNA (mRNA) vaccines and concurrent other types of vaccines. Other topics of discussion include COVID-19 variants; effectiveness of mRNA vaccines; and late news about the Pfizer-BioNTech® COVID-19 vaccine. The article conclusion discusses implications for nurses as they continue to follow future developments, become competent in communicating viral epidemiology, and educate patients and families about vaccine options.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123129151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-25DOI: 10.3912/ojin.vol27no02ppt33
Deborah A. Saber, Roya Aziza, Stacia J. Dreyer, Deborah Sanford, Hannah Nadeau
Food waste economically and environmentally impacts every industry in the U.S., including healthcare systems. The Environmental Protection Agency’s Food Recovery Hierarchy provided the framework for this study that examined how hospitals in one rural northeastern state processes food waste. Methods included semi-structured interviews with hospital nutrition service experts were conducted at seven facilities across the state. Findings indicate: (1) food is largely disposed of via in-sink disposal processes, making quantification difficult; (2) food donation is a viable humanitarian and waste prevention strategy, but is not widely used because of litigious concerns; and (3) culinary education promotes food repurposing strategies. The discussion highlights the need for nurse leaders to inform policy makers about changes that could positively impact the environment while reducing the waste stream and hospital expenditures.
{"title":"Hospital Food Waste: Reducing Waste and Cost to our Health Care System and Environment","authors":"Deborah A. Saber, Roya Aziza, Stacia J. Dreyer, Deborah Sanford, Hannah Nadeau","doi":"10.3912/ojin.vol27no02ppt33","DOIUrl":"https://doi.org/10.3912/ojin.vol27no02ppt33","url":null,"abstract":"Food waste economically and environmentally impacts every industry in the U.S., including healthcare systems. The Environmental Protection Agency’s Food Recovery Hierarchy provided the framework for this study that examined how hospitals in one rural northeastern state processes food waste. Methods included semi-structured interviews with hospital nutrition service experts were conducted at seven facilities across the state. Findings indicate: (1) food is largely disposed of via in-sink disposal processes, making quantification difficult; (2) food donation is a viable humanitarian and waste prevention strategy, but is not widely used because of litigious concerns; and (3) culinary education promotes food repurposing strategies. The discussion highlights the need for nurse leaders to inform policy makers about changes that could positively impact the environment while reducing the waste stream and hospital expenditures.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126799410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-25DOI: 10.3912/ojin.vol27no02ppt53
D. Camak
Sex trafficking is a global crime enslaving persons of all ages and across all borders, and providers can be challenged to locate and recognize victims. Trafficked victims present with varied and complex healthcare needs requiring unique and tailored interventions. This investigative project sought to situate the existing literature with experiences described by professionals who work with trafficking survivors. Findings from the report indicate that many survivors report seeking care and receiving treatment from nurses while trafficked yet failing to be identified by nurses or other healthcare providers as a trafficking victim. This article addresses the scope of sex trafficking, indicators used to recognize victims of sex trafficking, the critical need for nursing to be knowledgeable of sex trafficking, and concludes with a discussion of nurses’ responsibility to address victims’ diverse needs.
{"title":"Recognizing and Addressing the Needs of Sex Trafficking Victims","authors":"D. Camak","doi":"10.3912/ojin.vol27no02ppt53","DOIUrl":"https://doi.org/10.3912/ojin.vol27no02ppt53","url":null,"abstract":"Sex trafficking is a global crime enslaving persons of all ages and across all borders, and providers can be challenged to locate and recognize victims. Trafficked victims present with varied and complex healthcare needs requiring unique and tailored interventions. This investigative project sought to situate the existing literature with experiences described by professionals who work with trafficking survivors. Findings from the report indicate that many survivors report seeking care and receiving treatment from nurses while trafficked yet failing to be identified by nurses or other healthcare providers as a trafficking victim. This article addresses the scope of sex trafficking, indicators used to recognize victims of sex trafficking, the critical need for nursing to be knowledgeable of sex trafficking, and concludes with a discussion of nurses’ responsibility to address victims’ diverse needs.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133003122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-25DOI: 10.3912/ojin.vol27no02ppt59
L. Siegmund, C. Burchill, S. Siedlecki
Cardiac rehabilitation (CR) programs mediate the physical and emotional impact of cardiac events. Women are less likely to be referred to and complete CR programs than men resulting in poorer cardiac outcomes. Methods: This qualitative descriptive study examined women’s reasons and barriers for attending and completing a CR program. Findings suggest women choose to complete CR programs based on their experiences while attending the program. Discussions of strategies for enrolling women and maximizing their experiences are identified as well as areas of future research for improving women’s experiences of cardiac rehabilitation.
{"title":"Women’s Reasons For Completing Cardiac Rehabilitation: A Qualitative Examination","authors":"L. Siegmund, C. Burchill, S. Siedlecki","doi":"10.3912/ojin.vol27no02ppt59","DOIUrl":"https://doi.org/10.3912/ojin.vol27no02ppt59","url":null,"abstract":"Cardiac rehabilitation (CR) programs mediate the physical and emotional impact of cardiac events. Women are less likely to be referred to and complete CR programs than men resulting in poorer cardiac outcomes. Methods: This qualitative descriptive study examined women’s reasons and barriers for attending and completing a CR program. Findings suggest women choose to complete CR programs based on their experiences while attending the program. Discussions of strategies for enrolling women and maximizing their experiences are identified as well as areas of future research for improving women’s experiences of cardiac rehabilitation.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125365461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-31DOI: 10.3912/ojin.vol27no01man01
Kechi Iheduru-Anderson, M. Wahi
Racism has historically been entrenched in both nursing and nursing education in the United States, despite deliberate efforts to raise awareness about how racism can cause health disparities in ethnic minority patients. To date, approaches to racism in nursing have followed Leininger’s Theory of Nursing, and have focused on teaching cultural competence skills. This has had the unintended consequence of discouraging discourse about racism in nursing through white silence, and whiteness and colorblindness ideology. This article considers nursing in the United States and aims to deconstruct how language to address racism in nursing has been used historically; explain why using this language has not been successful; and describe innovative approaches to racial discourse to directly address racism in healthcare and nursing education. We offer implications for practice and education, proposing instead to teach skills in norm-critical thinking and discourse to nurse faculty and nursing students, eventually empowering the entire profession of nursing with skills to identify institutionalized racism, engage in discourse about it, and dismantle it.
{"title":"Race and Racism Discourse in U.S. Nursing: Challenging the Silence","authors":"Kechi Iheduru-Anderson, M. Wahi","doi":"10.3912/ojin.vol27no01man01","DOIUrl":"https://doi.org/10.3912/ojin.vol27no01man01","url":null,"abstract":"Racism has historically been entrenched in both nursing and nursing education in the United States, despite deliberate efforts to raise awareness about how racism can cause health disparities in ethnic minority patients. To date, approaches to racism in nursing have followed Leininger’s Theory of Nursing, and have focused on teaching cultural competence skills. This has had the unintended consequence of discouraging discourse about racism in nursing through white silence, and whiteness and colorblindness ideology. This article considers nursing in the United States and aims to deconstruct how language to address racism in nursing has been used historically; explain why using this language has not been successful; and describe innovative approaches to racial discourse to directly address racism in healthcare and nursing education. We offer implications for practice and education, proposing instead to teach skills in norm-critical thinking and discourse to nurse faculty and nursing students, eventually empowering the entire profession of nursing with skills to identify institutionalized racism, engage in discourse about it, and dismantle it.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122072881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-31DOI: 10.3912/ojin.vol27no01man02
Denise Wilson, Pipi Barton, Zoe Tipa
Indigenous Māori nurses in Aotearoa are a critical part of the health workforce. They know their communities and are trusted. But rather than being valued, they are often silenced, rendered invisible, and oppressed, driven by unfilled rhetoric in the Māori nursing workforce and endemic racism within nursing that other colonized Indigenous nurses also experience. Despite inequities within the Māori nursing workforce and Māori health outcomes in general, nursing within Aotearoa, New Zealand has yet to meaningfully increase and value the role of Māori nurses. In this article, we discuss the history and impact of the concept of Kawa Whakaruruhau, a term to describe cultural safety. We also critique the rhetoric, racism, and reality of the Indigenous Māori nurses and discuss its significance as is relevant to the international Indigenous nursing workforce and minority nursing populations.
{"title":"Rhetoric, Racism, and the Reality for the Indigenous Maori Nursing Workforce in Aotearoa New Zealand","authors":"Denise Wilson, Pipi Barton, Zoe Tipa","doi":"10.3912/ojin.vol27no01man02","DOIUrl":"https://doi.org/10.3912/ojin.vol27no01man02","url":null,"abstract":"Indigenous Māori nurses in Aotearoa are a critical part of the health workforce. They know their communities and are trusted. But rather than being valued, they are often silenced, rendered invisible, and oppressed, driven by unfilled rhetoric in the Māori nursing workforce and endemic racism within nursing that other colonized Indigenous nurses also experience. Despite inequities within the Māori nursing workforce and Māori health outcomes in general, nursing within Aotearoa, New Zealand has yet to meaningfully increase and value the role of Māori nurses. In this article, we discuss the history and impact of the concept of Kawa Whakaruruhau, a term to describe cultural safety. We also critique the rhetoric, racism, and reality of the Indigenous Māori nurses and discuss its significance as is relevant to the international Indigenous nursing workforce and minority nursing populations.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"101 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123235496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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